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Effects of Group Prenatal Care on Food Insecurity during Late Pregnancy and Early Postpartum.

Abstract：

OBJECTIVE:This study compared the effects of group to individual prenatal care in late pregnancy and early postpartum on (1) women's food security and (2) psychosocial outcomes among food-insecure women. METHODS AND RESULTS:We recruited 248 racially diverse, low-income, pregnant women receiving CenteringPregnancy™ group prenatal care (N = 124) or individual prenatal care (N = 124) to complete surveys in early pregnancy, late pregnancy, and early postpartum, with 84 % completing three surveys. Twenty-six percent of group and 31 % of individual care participants reported food insecurity in early pregnancy (p = 0.493). In multiple logistic regression models, women choosing group versus individual care were more likely to report food security in late pregnancy (0.85 vs. 0.66 average predicted probability, p < 0.001) and postpartum (0.89 vs. 0.78 average predicted probability, p = 0.049). Among initially food-insecure women, group participants were more likely to become food-secure in late pregnancy (0.67 vs. 0.35 individual care average predicted probability, p < 0.001) and postpartum (0.76 vs. 0.57 individual care average predicted probability, p = 0.052) in intention-to-treat models. Group participants were more likely to change perceptions on affording healthy foods and stretching food resources. Group compared to individual care participants with early pregnancy food insecurity demonstrated higher maternal-infant attachment scale scores (89.8 vs. 86.2 points for individual care, p = 0.032). CONCLUSIONS:Group prenatal care provides health education and the opportunity for women to share experiences and knowledge, which may improve food security through increasing confidence and skills in managing household food resources. Health sector interventions can complement food assistance programs in addressing food insecurity during pregnancy.

journal_name

Matern Child Health J

journal_title

Maternal and child health journal

authors

Heberlein EC,Frongillo EA,Picklesimer AH,Covington-Kolb S

doi

10.1007/s10995-015-1886-8

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

1014-24

issue

eissn

1092-7875

issn

1573-6628

pii

10.1007/s10995-015-1886-8

journal_volume

pub_type

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Effects of Group Prenatal Care on Food Insecurity during Late Pregnancy and Early Postpartum.